Provider Demographics
NPI:1235115502
Name:TUSHER, ALAN LEWIS (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:LEWIS
Last Name:TUSHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1360 EAST 17 STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230
Mailing Address - Country:US
Mailing Address - Phone:718-787-0525
Mailing Address - Fax:718-382-4805
Practice Address - Street 1:451 CLARKSON AVENUE
Practice Address - Street 2:KINGS COUNTY HOSPITAL CENTERS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-5209
Practice Address - Fax:718-245-5633
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1470312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H74660Medicare UPIN